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Introduction

The average adult circulates about 5.0 L of blood (1/13 of total body weight), of which 3 L is plasma and 2 L is cells. Plasma fluid derives from the intestines and lymphatic systems and provides a vehicle for cell movement. The cells are produced primarily by the bone marrow and account for blood “solids.” Blood cells are classified as white cells (leukocytes), red cells (erythrocytes), and platelets (thrombocytes). White cells are further categorized as granulocytes (neutrophils, basophils, and eosinophils), lymphocytes, and monocytes.

Before birth, hematopoiesis occurs in the liver. In midfetal life, the spleen and lymph nodes play a minor role in cell production. Shortly after birth, hematopoiesis in the liver ceases and the bone marrow is the only site of production of erythrocytes, granulocytes, and platelets. B lymphocytes are produced in the marrow and in the secondary lymphoid organs; T lymphocytes are produced in the thymus.